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Idiopathic granulomatous mastitis : diagnostic strategy and therapeutic implications in Omani patients
Other Title(s)
التهاب الثدي الحليبي : خطط التشخيص و التطبيقات العلاجية للمرضى العمانيين
Joint Authors
Sawhney, Sukhpal
al-Jarrah, Adil
Taranikanti, Varna
Lakhtakia, Ritu
al-Jabiri, Asma
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 13, Issue 2 (31 May. 2013), pp.241-247, 7 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2013-05-31
Country of Publication
Oman
No. of Pages
7
Main Subjects
Topics
Abstract AR
أن هذه الدراسة الموسعة و المفردة على حالات التهاب الثدي الحبيبي في عمان قد سلطت الضوء على الأخطاء في تشخيص هذا النوع غير الورمي و غير معروف الأسباب.
و قد أكدت الدراسة على الاستجابة الممتازة للعلاج بالمضادات الحيوية لالتهاب الثدي الحبيبي الذي طالما اعتبر مرضا يصعب علاجه و مثال للجدل .
Abstract EN
Objectives : idiopathic granulomatous mastitis (IGM) is a rare benign disorder of the breast whose aetiology is controversial, and is often misdiagnosed clinically and radiologically as mammary malignancy as a result, it may be incorrectly treated.
Although no standard treatment is available for this chronic disease, surgery with or without corticosteroids has been tried with controversial results.
This study discusses the clinical presentation, diagnosis, management, recurrence, and follow-up data of IGM with a review of relevant literature.
Methods : from 2009–2012, the Breast Unit at Sultan Qaboos University Hospital, Oman, conducted a clinical study on 20 patients with breast lumps.
Their clinical and radiological examinations were indeterminate, and a diagnosis of granulomatous mastitis was established only by histopathology.
Results : The majority of the patients were cases of unknown etiology, who presented with a unilateral breast mass.
A few patients had a mass with an abscess, along with axillary lymphadenopathy.
A total of 4 patients were suspected of malignancy using radiology.
In all patients, sterilised pus was sent for culture and sensitivity.
Microscopy showed the characteristic pattern of granulomatous inflammation.
All patients were treated with antibiotics for 6 weeks, and the mean follow-up period was 15 months (11–33 months).
All patients had complete remission with no further recurrence.
Conclusion : this single largest study of cases of IGM in Oman highlights the pitfalls in diagnosing this non-neoplastic disease of unknown aetiology and uncertain pathogenesis.
It emphasizes IGM’s excellent response to antibiotics, which is crucial, as IGM is a disease which inotoriously difficult and controversial to treat.
American Psychological Association (APA)
al-Jarrah, Adil& Taranikanti, Varna& Lakhtakia, Ritu& al-Jabiri, Asma& Sawhney, Sukhpal. 2013. Idiopathic granulomatous mastitis : diagnostic strategy and therapeutic implications in Omani patients. Sultan Qaboos University Medical Journal،Vol. 13, no. 2, pp.241-247.
https://search.emarefa.net/detail/BIM-330344
Modern Language Association (MLA)
Lakhtakia, Ritu…[et al.]. Idiopathic granulomatous mastitis : diagnostic strategy and therapeutic implications in Omani patients. Sultan Qaboos University Medical Journal Vol. 13, no. 2 (May. 2013), pp.241-247.
https://search.emarefa.net/detail/BIM-330344
American Medical Association (AMA)
al-Jarrah, Adil& Taranikanti, Varna& Lakhtakia, Ritu& al-Jabiri, Asma& Sawhney, Sukhpal. Idiopathic granulomatous mastitis : diagnostic strategy and therapeutic implications in Omani patients. Sultan Qaboos University Medical Journal. 2013. Vol. 13, no. 2, pp.241-247.
https://search.emarefa.net/detail/BIM-330344
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 246-247
Record ID
BIM-330344